Part 300: SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE

Section 300.1030 Medical Emergencies a) The advisory physician or medical advisory committee shall develop policies and procedures to be followed during the various medical emergencies that may occur from time to time in long-term care facilities. These medical emergencies includ…

Section 300.1035 Life-Sustaining Treatments a) Every facility shall respect the residents' right to make decisions relating to their own medical treatment, including the right to accept, reject, or limit life‑sustaining treatment. Every facility shall establish a policy concernin…

Section 300.1040 Care and Treatment of Sexual Assault Survivors a) For the purposes of this Section, the following definitions shall apply: 1) Ambulance Provider – an individual or entity that owns and operates a business or service using ambulances or emergency medical services …

Section 300.1050 Dental Standards a) Each long-term care facility shall have a dental program which will provide for in-service education to residents and staff under direction of dental personnel including at a minimum the following: (B) 1) Information regarding nutrition and di…

Section 300.1060 Vaccinations a) A facility shall annually administer or arrange for administration of a vaccination against influenza to each resident, in accordance with the recommendations of the Advisory Committee on Immunization Practices of the Centers for Disease Control a…

Section 300.110 General Requirements a) This Part applies to the operator/licensee of facilities, or distinct parts of facilities, that are to be licensed and classified to provide intermediate care or skilled nursing care, pursuant to the terms and conditions of the Nursing Home…

Section 300.120 Application for License a) Any person acting individually or jointly with other persons who proposes to build, own, establish, or operate an intermediate care facility or skilled nursing facility shall submit application information on forms provided by the Depart…

Section 300.1210 General Requirements for Nursing and Personal Care a) Comprehensive Resident Care Plan. A facility, with the participation of the resident and the resident's guardian or representative, as applicable, must develop and implement a comprehensive care plan for each …

Section 300.1220 Supervision of Nursing Services a) Each facility shall have a director of nursing services (DON) who shall be a registered nurse. 1) This person shall have knowledge and training in nursing service administration and restorative/rehabilitative nursing. This perso…

Section 300.1230 Direct Care Staffing a) For purposes of the minimum staffing ratios in Section 3-202.05 of the Act and this Section, all residents shall be classified as requiring either skilled care or intermediate care. (Section 3-202.05(b-5) of the Act) b) For the purposes of…

Section 300.1231 Calculation of Direct Care Staffing During Inspections, Surveys and Evaluations a) Calculation of direct care staffing during inspections, surveys and evaluations will be based on the finalized working schedule and daily census report totals for the two-week peri…

Section 300.1232 Waiver of Registered Professional Nurse Staffing Requirements a) Upon application by a facility, the Director may grant or renew a waiver, in whole or in part, of the registered professional nurse staffing requirements contained in Section 3-202.05(e) of the Act …

Section 300.1233 Quarterly Administrative Staffing Compliance Review a) The Department will determine compliance quarterly by comparing the number of hours provided per resident per day using the Centers for Medicare and Medicaid Services' payroll-based journal (PBJ) and the faci…

Section 300.1234 Penalties and Notice of Violation a) Notwithstanding any other provision of the Act or this Part, the Department will impose penalties for violations of the minimum staffing requirements of the Act and Section 300.1230, as follows: 1) No monetary penalty will be …

Section 300.1240 Additional Requirements In addition to the staffing requirements, in Section 300.1230, the following staffing requirements also apply to all Skilled Nursing Facilities and Intermediate Care Facilities: a) There shall be a licensed nurse designated as being in cha…

Section 300.130 Licensee a) The licensee is the corporate body, political subdivision, individual, or individuals responsible for the operation of the facility and upon whom rests the responsibility for meeting the licensing requirements. The licensee does not have to own the bui…

Section 300.140 Issuance of an Initial License for a New Facility a) Upon receipt and review of an application for a license made under the Act and inspection of the applicant facility under the Act, the Director will issue a probationary license if the Director finds that: 1) Th…

Section 300.1410 Activity Program a) The facility shall provide an ongoing program of activities to meet the interests and preferences and the physical, mental and psychosocial well-being of each resident, in accordance with the resident's comprehensive assessment. The activities…

Section 300.1420 Specialized Rehabilitation Services If physical therapy, occupational therapy, speech therapy or any other specialized rehabilitative service is offered, it shall be provided by, or supervised by, a qualified professional in that specialty and upon the written or…

Section 300.1430 Work Programs a) Work programs for individual residents in facilities shall be allowed only if they are oriented toward resident adjustment and therapeutic benefits and if they are approved in writing by the Department. Such programs should be a rarity in skilled…

Section 300.1440 Volunteer Program a) If the facility has a volunteer or auxiliary program, a facility staff person shall direct the program. Community groups such as Boy and Girl Scouts, church groups and civic organizations that may occasionally present programs, activities, or…

Section 300.1450 Language Assistance Services A facility shall provide language assistance services in accordance with the Language Assistance Services Act and the Language Assistance Services Code. (Source: Amended at 45 Ill. Reg. 11096, effective August 27, 2021) SUBPART H: MED…

Section 300.150 Issuance of an Initial License Due to a Change of Ownership a) Upon receipt and review of an application for a license made under the Act and inspection of the applicant facility under the Act, the Director will issue a probationary license if the Director finds: …

Section 300.160 Issuance of a Renewal License At least 120 days but not more than 150 days prior to license expiration, the licensee shall submit an application for renewal of the license in such form and containing such information as the Department requires. If the application …

Section 300.1610 Medication Policies and Procedures a) Development of Medication Policies 1) Every facility shall adopt written policies and procedures for properly and promptly obtaining, dispensing, administering, returning, and disposing of drugs and medications. These policie…

Section 300.1620 Compliance with Licensed Prescriber's Orders a) All medications shall be given only upon the written, facsimile, or electronic order of a licensed prescriber. The facsimile or electronic order of a licensed prescriber shall be authenticated by the licensed prescr…

Section 300.163 Alzheimer's Special Care Disclosure A facility that offers to provide care for persons with Alzheimer's disease through an Alzheimer's special care unit or center shall disclose to the Department or to a potential or actual client of the facility the following inf…

Section 300.1630 Administration of Medication a) All medications shall be administered only by personnel who are licensed to administer medications, in accordance with their respective licensing requirements. Licensed practical nurses shall have successfully completed a course in…

Section 300.1640 Labeling and Storage of Medications a) All medications for all residents shall be properly labeled and stored at, or near, the nurses' station, in a locked cabinet, a locked medication room, or one or more locked mobile medication carts of satisfactory design for…

Section 300.165 Criteria for Adverse Licensure Actions a) Adverse licensure actions are determinations to deny the issuance of an initial license, to deny the issuance of a renewal of a license, or to revoke the current license of a facility. b) A determination by the Director or…

Section 300.1650 Control of Medications a) The facility shall comply with all federal and State laws and State regulations relating to the procurement, storage, dispensing, administration, and disposal of medications. b) All Schedule II controlled substances shall be stored so th…

Section 300.170 Denial of Initial License a) A determination by the Director or his or her designee to deny the issuance of an initial license shall be based on a finding that one or more of the criteria outlined in Section 300.165 or the following criteria are met: 1) Conviction…

Section 300.175 Denial of Renewal of License a) Application for renewal of a license of a facility shall be denied and the license of the facility shall be allowed to expire when the Director or his or her designee finds that a condition, occurrence, or situation in the facility …

Section 300.180 Revocation of License a) The license of a facility shall be revoked when the Director or his or her designee finds that a condition, occurrence or situation in the facility meets any of the criteria specified in Section 300.165(b) and in Section 3-119(a) of the Ac…

Section 300.1810 Resident Record Requirements a) Each facility shall have a medical record system that retrieves information regarding individual residents. b) The facility shall keep an active medical record for each resident. This resident record shall be kept current, complete…

Section 300.1820 Content of Medical Records a) No later than the time of admission, the facility shall enter the following information onto the identification sheet or admission sheet for each resident: 1) Name, sex, date of birth and Social Security Number, 2) Marital Status, an…

Section 300.1830 Records Pertaining to Residents' Property a) The facility shall maintain a record of any resident's belongings, including money, valuables and personal property, accepted by the facility for safekeeping. This record shall be initiated at the time of admission and…

Section 300.1840 Retention and Transfer of Resident Records a) Records of discharged residents shall be placed in an inactive file and retained as follows: 1) Records for any resident who is discharged prior to being 18 years old shall be retained at least until the resident reac…

Section 300.1850 Other Resident Record Requirements This Section contains references to rules located in other Subparts that pertain to the content and maintenance of medical records. a) The resident's record shall include facts involved if the resident's discharge occurs despite…

Section 300.1860 Staff Responsibility for Medical Records a) Each skilled nursing facility shall have a health information management consultant. 1) Each skilled nursing facility that has a full-time or part-time health information management consultant shall designate that emplo…

Section 300.1870 Retention of Facility Records The facility shall retain the records referenced in this Section for a minimum of three years. It is suggested that the administrator check with legal counsel regarding the advisability of retaining records for a longer period of tim…

Section 300.1880 Other Facility Record Requirements a) The facility shall maintain a file of reports of findings and recommendations from consultants. Each report shall be dated and indicate each specific date and time the consultant was in the facility. b) The facility shall com…

Section 300.190 Experimental Program Conflicting With Requirements a) Any facility desiring to conduct an experimental program or do research which is in conflict with this Part shall submit a written request to the Department and secure prior approval. The Department will not ap…

Section 300.200 Inspections, Surveys, Evaluations and Consultation The terms survey, inspection and evaluation are synonymous. These terms refer to the overall examination of compliance with the Act and this Part. a) All facilities to which this Part applies shall be subject to a…

Section 300.2010 Director of Food Services a) A full-time person, qualified by training and experience, shall be responsible for the total food and nutrition services of the facility. This person shall be on duty a minimum of 40 hours each week. 1) This person shall be either a d…

Section 300.2020 Dietary Staff in Addition to Director of Food Services There shall be sufficient number of food service personnel employed and on duty to meet the dietary needs of all persons eating meals in the facility. Their working hours shall be scheduled to meet the total …

Section 300.2030 Hygiene of Dietary Staff Food service personnel shall be in good health, shall practice hygienic food handling techniques, and good personal grooming. (B) (Source: Amended at 13 Ill. Reg. 4684, effective March 24, 1989)